Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $490.28 / $3,419.00 / $8,442.00	Facility		$490.28	$3,419.00	$8,442.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.65 / $494.84 / $998.12	Professional		$336.65	$494.84	$998.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,385.00 / $4,133.00 / $9,074.00	Facility		$2,385.00	$4,133.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $351.06 / $457.95 / $1,017.44	Professional		$351.06	$457.95	$1,017.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $546.65 / $1,716.00 / $6,213.00	Facility		$546.65	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $546.65 / $546.65 / $635.92	Professional		$546.65	$546.65	$635.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $646.05 / $646.05 / $1,685.80	Facility		$646.05	$646.05	$1,685.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $324.52 / $546.75 / $1,213.02	Professional		$324.52	$546.75	$1,213.02
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $309.00 / $414.70 / $986.78	Facility		$309.00	$414.70	$986.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $496.83 / $606.88 / $946.62	Professional		$496.83	$606.88	$946.62
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $232.04 / $418.54 / $954.63	Professional		$232.04	$418.54	$954.63
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $646.05 / $74,999.25	Facility		$555.00	$646.05	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $364.54 / $575.49 / $1,264.90	Professional		$364.54	$575.49	$1,264.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,585.00 / $4,331.00 / $8,028.00	Facility		$1,585.00	$4,331.00	$8,028.00
United Facility/Professional Professional Modifier Low / Median / High Price $374.05 / $502.74 / $1,022.42	Professional		$374.05	$502.74	$1,022.42
Univera Facility/Professional Facility Modifier Low / Median / High Price $531.28 / $531.28 / $1,153.31	Facility		$531.28	$531.28	$1,153.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $232.04 / $615.22 / $1,126.24	Professional		$232.04	$615.22	$1,126.24